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Topic: Postpolio syndrome

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	Social Security Ruling; Postpolio Sequelae (Site not responding. Last check: 2007-10-15)
		Postpolio sequelae refer to the documented residuals of acute polio infection, as well as other disorders that have an etiological link to either the acute polio infection or to the chronic deficits that resulted from the infection.
		The NINDS states that postpolio syndrome is characterized by a further weakening of muscles that were previously affected by the polio infection.
		Once postpolio sequelae has been documented as a medically determinable impairment, the impact of any of the symptoms of postpolio sequelae, including fatigue, weakness, pain, intolerance to cold, etc., must be considered both in determining the severity of the impairment and in assessing the individual's RFC.
	www.socialsecurity.gov /regulations/articles/ssr-03-1p.htm (3382 words)

	postpoliosyndrome.html
		The flat back syndrome, a combination of an inability to stand erect because of forward flexion of the trunk and pain in the low back and/or legs, typically occurs in the setting of decreased lumbar lordosis as a result of distraction instrumentation of the spine for scoliosis, vertebral fracture, or degenerative disease.
		Abstract: The object of this investigation was to prospectively study the annual decline in lung function in a cohort of postpolio patients, and to determine the usefulness of initial lung function tests in the prediction of a subsequent poor outcome.
		Respondents with postpolio syndrome had a significantly greater prevalence of urologic symptoms than seen among respondents without postpolio syndrome, although no dominant pattern of voiding dysfunction was noted.
	www.indiana.edu /~pietsch/postpoliosyndrome.html (17558 words)

	BIOflex Medical Magnets
		POSTPOLIO SYNDROME is a well-recognized clinical entity which, since the early 1980s, has generated an abundant scientific literature (a Medline search found 88 references from 1981 to 1996; 24 of the publications included pain as a key word).
		The pain reported by postpolio patients can generally be categorized as either (1) myofascial, which can be elicited in various muscle groups, or (2) arthritic, which is evident on active or passive mobilization of several joints.
		In the initial report about the postpolio syndrome by Halstead and coworkers, the prevalence of pain among polio survivors who responded to a questionnaire was 75.5%.
	www.bioflexmagnets.com /cgi-bin/shop/sc_loadpagez.cgi?user_id=90136&file=baylor_study.htm (1059 words)

	Subspecialty Clinics: Physical Medicine and Rehabilitation - Management of Postpolio Syndrome
		The term "postpolio syndrome" was first used by a group of people with a history of acute poliomyelitis who were trying to interest the medical profession in their symptom complex and understand it themselves.
		Patients with postpolio syndrome tend to have a particular way of describing their symptoms and a particular reaction to assessment, or they put up "screens." Their behavior is, in many ways, similar to but also different from that in patients with chronic pain syndrome.
		The respiratory characteristics of patients with postpolio syndrome and late onset of chronic ventilatory failure that necessitates assisted ventilation are (1) muscle weakness, (2) decreased pulmonary volume, (3) decreased maximal inspiratory pressure, (4) decreased maximal expiratory pressure, and (5) decreased air flow.
	www.ott.zynet.co.uk /polio/lincolnshire/library/mayo/mopps.html (7415 words)

	NAON Online CE Center (Site not responding. Last check: 2007-10-15)
		A comprehensive understanding of polio and postpolio syndrome will give orthopaedic and rehabilitation nurses the knowledge they will need to help polio survivors and their families achieve their highest potential and quality of life.
		Consequently, individuals who suffered subclinical, abortive, or nonparalytic poliomyelitis were not diagnosed with postpolio syndrome despite the probability that they may have been presenting with associated clinical symptoms.
		Recent studies have demonstrated that the characteristic symptoms of postpolio syndrome were present in nonparalytic poliomyelitis survivors (Nee et al., 1995; Ramlow et al., 1992).
	www.orthonurse.org /Education/CE/julaug01/polio/introduc.htm (966 words)

	Postpolio Syndrome, Nerve Disorders, THE MERCK MANUAL OF HEALTH & AGING
		Postpolio syndrome is the development of tired, painful, and weak muscles 15 years or more after recovery from polio.
		In most people who have had polio, such symptoms are not due to postpolio syndrome but to the development of a new disorder, such as diabetes, a slipped (herniated) disk, or osteoarthritis.
		Doctors suspect postpolio syndrome when muscles become progressively weaker but sensation is not lost.
	www.merck.com /pubs/mmanual_ha/sec3/ch29/ch29e.html (142 words)

	Postpolio syndrome (Site not responding. Last check: 2007-10-15)
		Post-polio syndrome (PPS) is a condition which strikes survivors of the disease polio.
		Several theories exist as to the cause of this syndrome.
		Prognosis for patients with post-polio syndrome is relatively good.
	www.chclibrary.org /micromed/00061510.html (1286 words)

	Postpolio syndrome
		Donovan treats fellow postpolio patients, and many who visit her office are overwhelmed with the increasing realization that they cannot function as well as they used to, she said.
		However, medical researchers predict that by 1997 the United States will see the last cases of postpolio syndrome as the population born before the discovery of the polio vaccine tapers off.
		Meanwhile, postpolio syndrome patients such as Cave are learning to accept a slower pace and a new lifestyle that may include having to lean once again on the supportive devices they threw away long ago.
	www.nurseweek.com /features/ahpost.html (1356 words)

	Postpolio syndrome and tinnitus (Site not responding. Last check: 2007-10-15)
		When you're surfing for postpolio syndrome and tinnitus info and stories, be certain to utilize all of the resources available.
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		As postpolio syndrome and tinnitus related subjects continue to gain in popularity, there will be more locations to learn more about this pressing matter.
	www.hearing-aids-website.com /postpolio-syndrome-and-tinnitus.html (489 words)

	poliomyelitis (Site not responding. Last check: 2007-10-15)
		The long-term effects of the disease include death, paralysis, and postpolio syndrome.
		This results in new muscle weakness, called postpolio syndrome.
		The virus is spread directly from the stool of an infected person to the mouth of a noninfected person.
	www.northmemorial.com /healthencyclopedia/content/370.asp (701 words)

	eMedicine - Postpolio Syndrome : Article by Flor M Muñiz, MD (Site not responding. Last check: 2007-10-15)
		In contrast to patients with chronic fatigue syndrome, postpolio fatigue is prominent in the early hours of the afternoon and decreases after brief periods of rest.
		Another possible symptom in some patients with PPS is the flat back syndrome, which consists of the inability to stand erect because of forward flexion of the trunk and pain in the low back and legs.
		Julien J, Leparc-Goffart I, Lina B: Postpolio syndrome: poliovirus persistence is involved in the pathogenesis.
	www.emedicine.com /PMR/topic110.htm (2923 words)

	Post Polio Syndrome Treatment (Site not responding. Last check: 2007-10-15)
		Post-polio syndrome (PPS) is a condition that can strike polio survivors anywhere from 10 to 40...
		Patients with post-polio syndrome receive treatment in the University of Chicago Hospitalsand#39; ALS/MDA clinic, which is one of the oldest, most experienced...
		Post-polio syndrome (PPS) is a condition which strikes survivors of the...
	www.bizwatch.info /post_polio_syndrome_treatment.html (228 words)

	Norway (Site not responding. Last check: 2007-10-15)
		Treatment of patients with postpolio syndrome in a warm climate.
		PURPOSE: Treatment in warm climate of various patient groups including patients with postpolio syndrome is controversial.
		METHOD: Eighty-eight patients with postpolio syndrome (61 women) were recruite...
	www.find-health-articles.com /Cate-Norway-Year2003-2.htm (123 words)

	[40 years after the last polio epidemic. Postpolio syndrome as a cause of "weaning failure"] (Site not responding. Last check: 2007-10-15)
		Postpolio syndrome as a cause of "weaning failure"]
		The main symptoms of PPS are decreasing strength in voluntary muscles, pain and fatigue which occur spontaneously but may also be induced by physical stress and general illness.
		The diagnostic criteria of a post-polio syndrome were fulfilled and other neuromuscular diseases were excluded.
	fatigue-1.jeekim.com /fatigue-research-abs.1162.html (481 words)

	Postpolio syndrome and tinnitus (Site not responding. Last check: 2007-10-15)
		The unequaled websites to run across precisely the kind of postpolio syndrome and tinnitus help you are attempting to track down is here on the internet through the bountiful search engines usable.
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	www.hearing-aids-a1.com /postpolio-syndrome-and-tinnitus (336 words)

	Watches-Postpolio Syndrome (Site not responding. Last check: 2007-10-15)
		Polio is a disease of paradoxes, the major one being that although the threat of the "dreaded disease" ended with the Salk vaccine in 1954, many po...
		Postpolio Syndrome By: Julie K. Silver, MD and Anne C. Gawne, MD Julie K. Silver, MD, Assistant Professor of Physical Medicine and Rehabilitation, Harvard Medical School, Boston; Medical Director, Spaulding Rehabilitation Hospital Network, Framingham, MA Anne C. Gawne, MD, Former Director of: Post-Polio Clinic, Roosevelt Warm Springs Institute for Rehabilitation, Warm Springs,GA. Dr.
		This newly published book Postpolio Syndrome is being reviewed by: Dianne De Paul: Careline (post-polio newsletter) Editor and Post Polio Survivor (Polio 1948.) This is an up to date "Textbook" on the subject of Polio and Postpolio Syndrome.
	www.minihttpserver.net /z_watches/A_postpolio_syndrome-1560536063.htm (897 words)

	From PHI: Social Security's DI 24580.010 Evaluation of Postpolio Sequelae (Site not responding. Last check: 2007-10-15)
		On 7/2/03, SSA published SSR 03-1p, "Titles II and XVI: Development and Evaluation of Disability Claims Involving Postpolio Sequelae." This Ruling is published in its entirety in DI 24580.010 and replaces the previous text, "Evaluation of Late Effects of Poliomyelitis."
		PURPOSE: To provide guidance on SSA policy concerning the development and evaluation of postpolio sequelae in disability claims filed under titles II and XVI of the Social Security Act (the Act).
		Evidence from employers and other third party sources may be valuable in documenting a loss of a previous level of functioning and should be sought when there is a discrepancy or a question of credibility in the evidence of record and a fully favorable determination or decision cannot be made based on the available evidence.
	www.post-polio.org /ipn/di245801.html (3161 words)

	AllRefer.com - poliomyelitis (Pathology) - Encyclopedia
		The disease is usually fatal if the nerve cells in the brain are attacked (bulbar poliomyelitis), causing paralysis of essential muscles, such as those controlling swallowing, heartbeat, and respiration.
		For reasons not clearly understood, some people who have had severe polio experience postpolio syndrome, a condition in which new weakness and pain occurs years later in previously affected muscles.
		The incidence of poliomyelitis declined radically in the United States when a mass immunization program with the Salk vaccine was begun in 1955.
	reference.allrefer.com /encyclopedia/P/poliomye.html (444 words)

	CHEST: Sleep in postpolio syndrome (Site not responding. Last check: 2007-10-15)
		Accordingly, we studied sleep in two groups of stable postpolio patients: those already receiving ventilatory assistance and those who were not.
		Thirteen patients were recruited for the study from the local postpolio support group from April 1988 to August 1988.
		These individuals were thought to be clinically stable but had subjective complaints of progressive fatigue, weakness in muscles, pain in muscles or joints, sleep problems, breathing difficulties and swallowing problems consistent with the diagnosis of the postpolio syndrome.
	www.findarticles.com /p/articles/mi_m0984/is_n1_v98/ai_13084525 (1267 words)

	Worthy Find - Christian Open Directory Project (Site not responding. Last check: 2007-10-15)
		Educates and informs polio survivors, healthcare professionals and family about polio, postpolio syndrome and care in polio vaccination.
		Formed by polio survivors to provide information and support to polio survivors and their families and to educate the medical community and the general public about postpolio syndrome (PPS).
		Information on polio, postpolio syndrome, diagnosis, treatment, biographies, links to other resources, and equipment for the disabled.
	www.worthyfind.com /index.cgi?base=%2F%48%65%61%6C%74%68%2F%43%6F%6E%64%69%74%69%6F%6E%73%5F%61%6E%64%5F%44%69%73%65%61%73%65%73%2F%49%6E%66%65%63%74%69%6F%75%73%5F%44%69%73%65%61%73%65%73%2F%56%69%72%61%6C%2F%50%6F%6C%69%6F%6D%79%65%6C%69%74%69%73%2F%50%6F%73%74%5F%50%6F%6C%69%6F%5F%53%79%6E%64%72%6F%6D%65%2F (507 words)

	The International Post-Polio Centre for Education and Research (Site not responding. Last check: 2007-10-15)
		Trojan D. A multicenter, randomized, double-blinded trial of pyridostigmine in postpolio syndrome.
		Hsu A. Postpolio sequelae and sleep-related disordered breathing.
		Siegel H. Physiologic events initiating REM sleep in patients with the postpolio syndrome.
	www.englewoodhospital.com /PostPolio/postBiblio3.htm (1003 words)

	eMedicine - Postpolio Syndrome : Article Excerpt by: Flor M Muñiz, MD (Site not responding. Last check: 2007-10-15)
		Background: Accepted criteria for diagnosis of postpolio syndrome (PPS) are a prior history of poliomyelitis, a stable period after recovery, a residual deficit of the initial polio, new muscle weakness, and, sometimes, new muscle atrophy.
		Fatigue and muscle pain need not be present to meet the criteria for the syndrome.
		Pathophysiology: One possible cause of PPS is decompensation of a chronic denervation and reinnervation process to the extent that the remaining healthy motor neurons can no longer maintain new sprouts; thus, denervation exceeds reinnervation.
	www.emedicine.com /pmr/byname/postpolio-syndrome.htm (335 words)

	Lincolnshire Post-Polio Library [Occupational Therapy and the Postpolio Syndrome]
		Because the coping mechanisms learned during the initial disease have had such a profound effect on polio survivors, the importance of the psychosocial ramifications of the postpolio syndrome is stressed.
		The phrase post-polio syndrome is used in a general sense to describe those symptoms or conditions that are directly or indirectly related to the late effects of polio.
		The focus of occupational therapy for this stage should be on evaluation of and retraining in activities of daily living, use of assistive devices, modifications of the work and home environments, and education in work simplification and energy conservation.
	www.ott.zynet.co.uk /polio/lincolnshire/library/gryoung/otapps.html (5013 words)

	HHMI's BioInteractive - Still a Mystery: What Causes Postpolio Syndrome?
		Today, doctors recognize postpolio syndrome (PPS)—the residual weakness patients who have survived a bout with polio can experience decades after the initial acute infection—as a legitimate clinical condition.
		The persistence of the body of poliovirus particles that have lain dormant for many years and then are then reactivated by some unknown mechanism may also play a role.
		Researchers have reported poliovirus-like RNA fragments in the spinal fluid and spinal cord tissue of some patients with PPS, but not in polio survivors without the syndrome.
	www.hhmi.org /biointeractive/disease/polio/polio1.html (628 words)

	Postpolio Syndrome \| AHealthyMe.com
		Postpolio syndrome (PPS) is a condition that strikes survivors of the disease polio.
		Only about 20% of all patients with PPS will need to rely on new aids for mobility or breathing.
		"Post-Polio Syndrome." The New England Journal of Medicine 333, no. 8 (24 Aug. 1995): 532+.
	www.ahealthyme.com /topic/topic100587330 (1177 words)

	sleep apnea and postpolio syndrome (Site not responding. Last check: 2007-10-15)
		Neuromuscular disorders such as postpolio syndrome can result in inadequate neuromuscular control of the upper airway and lead to obstructive sleep apnea.23 Restrictive lung disease from scoliosis...
		Sleep in postpolio syndrome.: Chest No reviews found, Be the first...
		its no-carts rule to allow a golfer with postpolio syndrome who is unable to walk an 18-hole course...
	www.sleep-disorders-help.info /rest/sleepapneaandpostpoliosyndrome (690 words)

	Post-polio syndrome - MayoClinic.com
		Today, few people in developed countries get polio, and the disease is well on its way to being eliminated in developing countries, thanks to immunization efforts with polio vaccine.
		But for some people, the initial problems they had with polio are reappearing as a condition called post-polio syndrome (PPS).
		The cause is unknown, but research is beginning to yield a better understanding of this complex syndrome.
	www.mayoclinic.com /invoke.cfm?id=DS00494 (297 words)

	PPS & Physical Therapy Survey (Site not responding. Last check: 2007-10-15)
		I am surveying people with Postpolio Syndrome to ascertain the level of patient satisfaction with physical therapy services.
		Much current research regarding Postpolio Syndrome has expressed patient dissatisfaction with health care in general, yet none has specifically focused on physical therapy services.
		The information obtained by this survey will offer insight as to current patient satisfaction with physical therapy and which areas of service clients may feel are not as beneficial.
	www.skally.net /ppsc/c-survey.htm (368 words)

	VSN: Onderzoek
		Prediction of voluntary activation, strength and endurance of elbow flexors in postpolio patients.
		Motor unit characteristics in healthy subjects and those with postpoliomyelitis syndrome: a high-density surface EMG study.
		Perceived health and physical functioning in postpoliomyelitis syndrome: a 6-year prospective follow-up study.
	www.vsn.nl /onderzoek/diagnose.php?diagnose_id=31&diagnose_naam=Postpolio+syndroom (379 words)

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